| NPI | 1952778714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDRANI ACOSTA Physician 407-808-7577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: ME150152) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |